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BEACON MEDICAL GROUP, INC.
NPI 1033161617
Family Medicine in Mishawaka, IN

Active since May 16, 2006
4630 VISTULA RD, MISHAWAKA, IN 46544(574) 647-1900(574) 254-7222 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Aug 30, 2016 (2 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP, INC. (NPI 1033161617), doing business as Beacon Medical Group Schwartz - Wiekamp, is a healthcare organization registered as a family medicine in Mishawaka, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1033161617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address4630 VISTULA RDMishawaka, IN 46544-4000
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1840
Phone(574) 647-1900
Fax(574) 254-7222
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1033161617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01058339A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
4630 VISTULA RD, Mishawaka, IN 46544
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Other Names 1

Doing Business AsBeacon Medical Group Schwartz - Wiekamp

Other Identifiers 1

Medicaid200130710AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

734

Medicare enrollment records show 734 clinicians reassign Medicare billing to Beacon Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 496 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner188
Family Practice113
Certified Registered Nurse Anesthetist (CRNA)49
Obstetrics/Gynecology49
Internal Medicine42
Neurology29
Pediatric Medicine28
Psychiatry21
37 other specialties215

Nearest to this location (20)

See all 734
Joseph Caruso, M.D.
Family Practice
NPI 1598763203
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Daniel Abel, M.D.
Family Practice
NPI 1508177619
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Ryan Bonek, M.D.
Family Practice
NPI 1730523846
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Jennifer Pennington, D.O.
Family Practice
NPI 1114145687
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Aroba Sadaf, DO
Family Practice
NPI 1689193211
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Jamie Thacker
Nurse Practitioner
NPI 1548998131
4630 VISTULA RD
Mishawaka, IN 46544
(574) 647-1900
✔ PECOS✔ Accepts MedicareSame address
Abhishek Das, M.D.
Physical Medicine and Rehabilitation
NPI 1932488665
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 256-9032
✔ PECOS✔ Accepts Medicare0.5 mi
Jose Lopez, M.D.
Neurology
NPI 1336352806
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 647-8542
✔ PECOS✔ Accepts Medicare0.5 mi
Kiesha Anderson, D.O.
Neurology
NPI 1720439680
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 647-8542
✔ PECOS✔ Accepts Medicare0.5 mi
Nadia Bowling, M.D
Neurology
NPI 1992167746
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 647-8542
✔ PECOS✔ Accepts Medicare0.5 mi
Amy Brown, NP
Nurse Practitioner
NPI 1013686625
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Jessica Evans, NP
Nurse Practitioner
NPI 1851865174
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Johnny Gerardot, MD
Family Practice
NPI 1336673037
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Cara Johnson, NP
Nurse Practitioner
NPI 1083502652
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Nicholas Pechin, DO
Psychiatry
NPI 1760987275
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 256-9032
✔ PECOS✔ Accepts Medicare0.5 mi
Nicole Rose
Nurse Practitioner
NPI 1922697572
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Ryan Stoy, LCSW
Clinical Social Worker
NPI 1629899877
5314 LINCOLNWAY E
Mishawaka, IN 46544
(574) 584-2812
✔ PECOS✔ Accepts Medicare0.5 mi
Brian Huber, MD
Family Practice
NPI 1538322805
1710 E DAY RD
Mishawaka, IN 46545
(574) 213-2514
✔ PECOS✔ Accepts Medicare3.4 mi
John Gilbert, D.O.
Otolaryngology
NPI 1275735581
810 PARK PLACE
Mishawaka, IN 46545
(574) 366-0240
✔ PECOS✔ Accepts Medicare3.8 mi
Loren Calderone, NP-C
Nurse Practitioner
NPI 1437763299
710 PARK PL
Mishawaka, IN 46545
(574) 273-6776
✔ PECOS✔ Accepts Medicare3.8 mi
See all 734 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1033161617. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Beacon Medical Group Schwartz - Wiekamp.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 4630 Vistula Rd, Mishawaka, IN 46544. The listed phone number is (574) 647-1900.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beacon Medical Group, Inc. enrolled in Medicare?

Yes. Beacon Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Beacon Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 6 practice at this address and 496 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.